K Number
K163443
Device Name
Interson USB Ultrasound System
Date Cleared
2017-04-13

(126 days)

Product Code
Regulation Number
892.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Interson USB Ultrasound System is intended for diagnostic ultrasound imaging in B, color Doppler, or Combined (B + Color) modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications: - Fetal/Obstetric Abdominal Pediatric Small Organ Musculo-skeletal (conventional) Musculo-skeletal (superficial) Urology Gynecology Pelvic Floor Neuro-muscular Peripheral Vessel The system is intended for use by healthcare professionals.
Device Description
The Interson USB Ultrasound Imaging System is a self-contained portable, solid-state, multiple-mode and multiple-application ultrasound imaging system. The system comprises a series of handheld probes containing an ultrasound generator/receiver, analog to digital converter, microcontroller, control logic, USB 2.0 interface, and software-based controls offering a full complement of conventional operating modes, parameter controls, and recording functions. The selection of transducers offered with the system permit a wide range of clinical applications including Fetal/Obstetric, Abdominal, Pediatric, Small Organ, Musculo-skeletal, Urology, Gynecology, Pelvic Floor, Neuromuscular, and Peripheral Vessel. The initial operational settings for each transducer are preprogrammed in the system. User-customized parameter settings for each transducer may be set by the operator and stored for recall as needed via the system control panel. Customization includes transmit power, images controls selection, and Time Gain Compensation (TGC). Controls are also provided to select display format and to utilize the Cine function. The Interson USB Ultrasound transducers operate in B-Mode, color Doppler, and combined mode (B + color Doppler), providing high resolution and high penetration performance. The product family uses curved and flat linear array transducers and includes a General Purpose (GP) probe and a Small Parts (SP) probe. The SeeMore software application used in the Interson USB Ultrasound System supports static image acquisition and a cine function capable of storing up to 32 to 1024 sequential images. Management of patient history is enabled by the image or cine-storage function. The SeeMore control software runs on standard Microsoft Windows platforms.
More Information

Not Found

No
The description focuses on standard ultrasound technology, hardware components, software controls for image acquisition and storage, and compliance with relevant medical device standards. There is no mention of AI, ML, deep learning, or any features that would typically indicate the use of such technologies for image processing, analysis, or interpretation.

No
The device is strictly described as a "diagnostic ultrasound imaging" system, with its intended use focused on generating images and analyzing fluid flow for diagnostic purposes, not for treatment.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states, "The Interson USB Ultrasound System is intended for diagnostic ultrasound imaging..." and "It is indicated for diagnostic ultrasound imaging and fluid flow analysis..." This directly indicates its role in diagnosis.

No

The device description explicitly states that the system comprises handheld probes containing hardware components such as an ultrasound generator/receiver, analog to digital converter, microcontroller, and USB interface, in addition to software.

Based on the provided text, the Interson USB Ultrasound System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device Function: The Interson USB Ultrasound System is an imaging device that uses ultrasound waves to create images of internal structures within the body. It is used for diagnostic imaging and fluid flow analysis directly on the patient.
  • Intended Use: The intended use clearly states "diagnostic ultrasound imaging" and "fluid flow analysis" in various anatomical sites. This involves direct interaction with the patient's body, not the analysis of specimens taken from the body.

Therefore, the Interson USB Ultrasound System falls under the category of medical imaging devices, not In Vitro Diagnostic devices.

N/A

Intended Use / Indications for Use

The Interson USB Ultrasound System is intended for diagnostic ultrasound imaging in B, color Doppler, or Combined (B + Color) modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications:

  • Fetal/Obstetric Abdominal Pediatric Small Organ Musculo-skeletal (conventional) Musculo-skeletal (superficial) Urology Gynecology Pelvic Floor Neuro-muscular Peripheral Vessel
    The system is intended for use by healthcare professionals.

Device Name: GP-C01 Transducer

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:
Clinical Application: Ophthalmic, Fetal/Obstetric, Abdominal, Intra-Operative (Specify), Intra-Operative Neurological, Laparoscopic, Pediatric (excluding transcranial & neonatal), Small Organ (Scrotum, prostate, lymph nodes, thyroid, breast), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Trans-esoph. (non-card.), Muscular-Skeletal (Conventional), Muscular-Skeletal (Superficial), Intravascular, Other (Urology), Other (Gynecology), Other (Pelvic Floor), Other (Neuromuscular), Cardiac Adult, Cardiac Pediatric, Intravascular (Cardiac), Trans-esoph. (Cardiac), Intra-cardiac, Other (Specify), Peripheral vessel, Other (Specify).
Mode: B, color Doppler, B + color Doppler

Device Name: SP-L01 Transducer

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:
Clinical Application: Ophthalmic, Fetal/Obstetric, Abdominal, Intra-Operative (Specify), Intra-Operative Neurological, Laparoscopic, Pediatric (excluding transcranial & neonatal), Small Organ (Scrotum, prostate, lymph nodes, thyroid, breast), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Trans-esoph. (non-card.), Muscular-Skeletal (Conventional), Muscular-Skeletal (Superficial), Intravascular, Other (Urology), Other (Gynecology), Other (Pelvic Floor), Other (Neuromuscular), Cardiac Adult, Cardiac Pediatric, Intravascular (Cardiac), Trans-esoph. (Cardiac), Intra-cardiac, Other (Specify), Peripheral vessel, Other (Specify).
Modes: B, color Doppler, B + color Doppler

Device Name: Interson USB Ultrasound System

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:
Clinical Application: Ophthalmic, Fetal/Obstetric, Abdominal, Intra-Operative (Specify), Intra-Operative Neurological, Laparoscopic, Pediatric (excluding transcranial & neonatal), Small Organ (Scrotum, prostate, lymph nodes, thyroid, breast), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Trans-esoph. (non-card.), Muscular-Skeletal (Conventional), Muscular-Skeletal (Superficial), Intravascular, Other (Urology), Other (Gynecology), Other (Pelvic Floor), Other (Neuromuscular), Cardiac Adult, Cardiac Pediatric, Intravascular (Cardiac), Trans-esoph. (Cardiac), Intra-cardiac, Other (Specify), Peripheral vessel, Other (Specify).
Modes: B, color Doppler, B + color Doppler

Product codes (comma separated list FDA assigned to the subject device)

IYN, IYO, ITX

Device Description

The Interson USB Ultrasound Imaging System is a self-contained portable, solid-state, multiple-mode and multiple-application ultrasound imaging system. The system comprises a series of handheld probes containing an ultrasound generator/receiver, analog to digital converter, microcontroller, control logic, USB 2.0 interface, and software-based controls offering a full complement of conventional operating modes, parameter controls, and recording functions. The selection of transducers offered with the system permit a wide range of clinical applications including Fetal/Obstetric, Abdominal, Pediatric, Small Organ, Musculo-skeletal, Urology, Gynecology, Pelvic Floor, Neuromuscular, and Peripheral Vessel.

The initial operational settings for each transducer are preprogrammed in the system. User-customized parameter settings for each transducer may be set by the operator and stored for recall as needed via the system control panel. Customization includes transmit power, images controls selection, and Time Gain Compensation (TGC). Controls are also provided to select display format and to utilize the Cine function.

The Interson USB Ultrasound transducers operate in B-Mode, color Doppler, and combined mode (B + color Doppler), providing high resolution and high penetration performance. The product family uses curved and flat linear array transducers and includes a General Purpose (GP) probe and a Small Parts (SP) probe.

The SeeMore software application used in the Interson USB Ultrasound System supports static image acquisition and a cine function capable of storing up to 32 to 1024 sequential images. Management of patient history is enabled by the image or cine-storage function.

The SeeMore control software runs on standard Microsoft Windows platforms.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Ultrasound

Anatomical Site

Fetal/Obstetric, Abdominal, Pediatric, Small Organ (Scrotum, prostate, lymph nodes, thyroid, breast), Musculo-skeletal (conventional), Musculo-skeletal (superficial), Urology, Gynecology, Pelvic Floor, Neuro-muscular, Peripheral Vessel, Ophthalmic, Intra-Operative, Neurological, Laparoscopic, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Trans-urethral, Trans-esoph. (non-card.), Intravascular, Cardiac, Intra-cardiac.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare professionals.

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The Interson USB Ultrasound System product family introduces no new modes, features, or technologies relative to the predicate devices (Philips Lumify K152899 and Interson K070907) that require clinical testing. The clinical safety and effectiveness of ultrasound systems with these characteristics are well accepted for both predicate and subject devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K152899, K070907

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 892.1550 Ultrasonic pulsed doppler imaging system.

(a)
Identification. An ultrasonic pulsed doppler imaging system is a device that combines the features of continuous wave doppler-effect technology with pulsed-echo effect technology and is intended to determine stationary body tissue characteristics, such as depth or location of tissue interfaces or dynamic tissue characteristics such as velocity of blood or tissue motion. This generic type of device may include signal analysis and display equipment, patient and equipment supports, component parts, and accessories.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, arranged in a stacked formation.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

April 13, 2017

Interson Corporation % David Asarnow, Ph.D. Quality/Regulatory Manager 7150 Koll Center Parkway PLEASANTON CA 94566

Re: K163443

Trade/Device Name: Interson USB Ultrasound System Regulation Number: 21 CFR 892.1550 Regulation Name: Ultrasonic pulsed doppler imaging system Regulatory Class: II Product Code: IYN, IYO, ITX Dated: March 17, 2017 Received: March 17, 2017

Dear Dr. Asarnow:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug. and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21. Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

1

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Michael D'Hara

For

Robert Ochs. Ph.D. Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K163443

Device Name Interson USB Ultrasound System

Indications for Use (Describe)

The Interson USB Ultrasound System is intended for diagnostic ultrasound imaging in B, color Doppler, or Combined (B + Color) modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications:

  • Fetal/Obstetric Abdominal Pediatric Small Organ Musculo-skeletal (conventional) Musculo-skeletal (superficial) Urology Gynecology Pelvic Floor Neuro-muscular Peripheral Vessel
    The system is intended for use by healthcare professionals.

Type of Use (Select one or both, as applicable)

☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)

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3

SECTION 1.3 - INDICATIONS FOR USE

The Interson USB Ultrasound System is intended for diagnostic ultrasound imaging in B, color Doppler, or Combined (B + Color) modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications:

  • Fetal/Obstetric Abdominal Pediatric Small Organ Musculo-skeletal (conventional) Musculo-skeletal (superficial) Urology Gynecology Pelvic Floor Neuro-muscular Peripheral Vessel
    The system is intended for use by healthcare professionals.

The Indications for Use statement on Form 3881 is provided in Tab 4, followed by the clinical applications and modes of operation applicable to each application for each transducer and for the system.

4

Diagnostic Ultrasound Indications for Use

Interson USB Ultrasound System

Device Name: GP-C01 Transducer

Mode: B, color Doppler, B + color Doppler

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track 1 only)Specific
(Tracks 1&3)BMPWDCWDColor
Doppler
(CD)Combined
(B+CD)Other*
(Specify)
OphthalmicOphthalmic
Fetal/ObstetricNNN
AbdominalNNN
Intra-Operative (Specify)
Intra-Operative Neurological
Laparoscopic
Pediatric
(excluding transcranial
& neonatal)
Small Organ (Scrotum, prostate,
lymph nodes, thyroid, breast)NNN
Fetal
Imaging
& OtherNeonatal Cephalic
Adult Cephalic
Trans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-card.)
Muscular-Skeletal (Conventional)NNN
Muscular-Skeletal (Superficial)NNN
Intravascular
Other (Urology)NNN
Other (Gynecology)NNN
Other (Pelvic Floor)NNN
Other (Neuromuscular)NNN
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral VesselPeripheral vessel
Other (Specify)

N = New Indication, P=Previously cleared by FDA; E=added under this appendix

*Examples of other modes may include Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler and Color Velocity Imaging

5

Diagnostic Ultrasound Indications for Use

Interson USB Ultrasound System

Device Name: SP-L01 Transducer

Modes: B, color Doppler, B + color Doppler

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track 1 only)Specific
(Tracks 1&3)BMPWDCWDColor
Doppler
(CD)Combined
(B+CD)Other*
(Specify)
OphthalmicOphthalmic
Fetal/Obstetric
AbdominalNNN
Intra-Operative (Specify)
Intra-Operative Neurological
Laparoscopic
Pediatric
(excluding transcranial
& neonatal)NNN
Small Organ (Scrotum, prostate,
lymph nodes, thyroid, breast)NNN
Neonatal Cephalic
Adult Cephalic
Fetal
Imaging
& OtherTrans-rectal
Trans-vaginal
Trans-urethral
Trans-esoph. (non-card.)
Muscular-Skeletal (Conventional)NNN
Muscular-Skeletal (Superficial)NNN
Intravascular
Other (Urology)NNN
Other (Gynecology)NNN
Other (Pelvic Floor)NNN
Other (Neuromuscular)NNN
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral VesselPeripheral vesselNNN
Other (Specify)

N = New Indication, P=Previously cleared by FDA; E=added under this appendix

*Examples of other modes may include Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler and Color Velocity Imaging

6

Diagnostic Ultrasound Indications for Use

Device Name: Interson USB Ultrasound System

Modes: B, color Doppler, B + color Doppler

Intended Use: Diagnostic ultrasound imaging and fluid flow analysis of the human body as follows:

Clinical ApplicationMode of Operation
General
(Track 1 only)Specific
(Tracks 1&3)BMPWDCWDColor
Doppler
(CD)Combined
(B+CD)Other*
(Specify)
OphthalmicOphthalmic
Fetal/ObstetricNNN
AbdominalNNN
Intra-Operative (Specify)
Intra-Operative Neurological
Laparoscopic
Pediatric
(excluding transcranial
& neonatal)NNN
Small Organ (Scrotum, prostate,
lymph nodes, thyroid, breast)NNN
Neonatal Cephalic
Adult Cephalic
FetalTrans-rectal
Imaging
& OtherTrans-vaginal
Trans-urethral
Trans-esoph. (non-card.)
Muscular-Skeletal (Conventional)NNN
Muscular-Skeletal (Superficial)NNN
Intravascular
Other (Urology)NNN
Other (Gynecology)NNN
Other (Pelvic Floor)NNN
Other (Neuromuscular)NNN
CardiacCardiac Adult
Cardiac Pediatric
Intravascular (Cardiac)
Trans-esoph. (Cardiac)
Intra-cardiac
Other (Specify)
Peripheral VesselPeripheral vesselNNN
Other (Specify)

N = New Indication, P=Previously cleared by FDA; E=added under this appendix

*Examples of other modes may include Doppler, 3-D Imaging, Harmonic Imaging, Tissue Motion Doppler and Color Velocity Imaging

7

510(k) Summary K163443

Provided in accordance with 21CFR 807.92 (c).

Submitter Information- 21 CFR 807.92 (a)(1)

Date of submission:11/28/2016
Submitter information:Interson Corporation
7150 Koll Center Parkway
Pleasanton, CA 94566
Establishment Registration No:2939830
Contact person:David Asarnow
Quality/Regulatory Manager
(925) 462-4948 (tel)
(925) 462-4833 (fax)
dasarnow@interson.com

Name of Device and Classification - 21 CFR 807.92 (a)(2)

Device trade name:USB Ultrasound System
Common name:Diagnostic ultrasound system and transducers
Classification:Class II
21 CFR SectionClassification NameProduct Code
892.1550Ultrasonic pulsed doppler imaging systemIYN
892.1560Ultrasonic pulsed echo imaging systemIYO
892.1570Diagnostic ultrasonic transducerITX

Track

Track 3

Predicate Device - 21 CFR 807.92 (a)(3)

Philips Lumify Diagnostic Ultrasound SystemK15289910/30/2015
Interson USB Ultrasound Probe SystemK0709074/17/2007

Device Description - 21 CFR 807.92 (a)(4):

The Interson USB Ultrasound Imaging System is a self-contained portable, solid-state, multiple-mode and multiple-application ultrasound imaging system. The system comprises a series of handheld probes containing an ultrasound generator/receiver, analog to digital converter, microcontroller, control logic, USB 2.0 interface, and

8

software-based controls offering a full complement of conventional operating modes, parameter controls, and recording functions. The selection of transducers offered with the system permit a wide range of clinical applications including Fetal/Obstetric, Abdominal, Pediatric, Small Organ, Musculo-skeletal, Urology, Gynecology, Pelvic Floor, Neuromuscular, and Peripheral Vessel.

The initial operational settings for each transducer are preprogrammed in the system. User-customized parameter settings for each transducer may be set by the operator and stored for recall as needed via the system control panel. Customization includes transmit power, images controls selection, and Time Gain Compensation (TGC). Controls are also provided to select display format and to utilize the Cine function.

The Interson USB Ultrasound transducers operate in B-Mode, color Doppler, and combined mode (B + color Doppler), providing high resolution and high penetration performance. The product family uses curved and flat linear array transducers and includes a General Purpose (GP) probe and a Small Parts (SP) probe.

The SeeMore software application used in the Interson USB Ultrasound System supports static image acquisition and a cine function capable of storing up to 32 to 1024 sequential images. Management of patient history is enabled by the image or cine-storage function.

The SeeMore control software runs on standard Microsoft Windows platforms.

Intended Use/Indications for Use - 21 CFR 807.92 (a)(5)

The Interson Ultrasound Imaging System is intended for diagnostic ultrasound imaging in B, color Doppler, or Combined (B + Color) modes. It is indicated for diagnostic ultrasound imaging and fluid flow analysis in the following applications:

  • Fetal/Obstetric Abdominal Pediatric Small Organ Musculo-skeletal Urology Gynecology Pelvic Floor Neuro-muscular Peripheral Vessel
    The system is intended for use by healthcare professionals.

9

Product Models

ModelCommon Applications
Transducer Model GP-C01Fetal/Obstetric, Abdominal, Urology, Musculo-
skeletal, Small Organs, Neuromuscular
Transducer Model SP-L01Pediatric, Small Organs, Peripheral Vessel

All models are used with SeeMore control software.

Summary of technological characteristics of the device compared to the predicate device- 21 CFR 807.92 (a)(6)

| Device
Features | Subject Device:
Interson Ultrasound
System | Predicate 1:
Philips Lumify
K152899 | Predicate 2:
Interson Ultrasound
System K070907 |
|-------------------------|-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| Intended Use | Diagnostic ultrasound
imaging in B, color
Doppler and
Combined (B + Color)
modes. | Diagnostic ultrasound
imaging in B, color
Doppler, and
Combined (B + Color)
modes. | Diagnostic ultrasound
imaging in B mode
(all transducers), A
mode (ophthalmic) |
| Indications
for Use | Indicated for
diagnostic ultrasound
imaging and fluid
flow analysis in
specified applications | Indicated for
diagnostic ultrasound
imaging and fluid
flow analysis in
specified applications | Indicated for
diagnostic ultrasound
imaging in specified
applications |
| Array
Geometry | Curved and linear | Curved and linear | Non-Array |
| Mechanics | Solid State | Solid State | Mechanical |
| Software
platform | Commercial off-the-
shelf operating system
(Windows) | Commercial off-the-
shelf operating system
(Android) | Commercial off-the-
shelf operating system
(Windows) |
| Software
control | Standalone | Standalone | Standalone |
| Measurement
function | 2D measurement and
area measurement | 2D measurement tool | 2D measurement tool |
| Wireless
networking | Not supported | Supported | Not supported |
| Connector | USB | USB | USB |

10

Determination of Substantial Equivalence

Non-clinical Performance Data

Non-clinical testing relied on in this premarket notification submission for a determination of substantial equivalence include tests which show compliance with the following standards:

  1. Recognition Number 12-105: NEMA UD 2-2004 (R2009), Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment Revision 3. (Radiology)

  2. Recognition Number 19-4: AAMI ANSI ES60601-1:2005/(R)2012 and A1:2012, C1:2009/(R)2012 and A2:2010/(R)2012, (Consolidated Text) Medical electrical equipment - Part 1: General requirements for basic safety and essential performance (IEC 60601-1:2005, MOD)

  3. Recognition Number 12-293: IEC 60601-2-37 (2015), Amendment 2, Medical electrical equipment - Part 2-37: Particular requirements for the basic safety and essential performance of ultrasonic medical diagnostic and monitoring equipment. (Radiology) 4. Recognition Number 19-8: IEC 60601-1-2 Edition 4.0 2014-02, Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance -Collateral Standard: Electromagnetic disturbances - Requirements and tests

  4. Recognition Number 5-89: IEC 60601-1-6 Edition 3.1 2013-10, Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance -Collateral standard: Usability

  5. Recognition Number 5-40: ISO 14971 Second edition 2007-03-01, Medical devices -Application of risk management to medical devices 7. Recognition Number 2-173: AAMI ANSI ISO 10993-10:2010/(R)2014, Biological evaluation of medical devices -Part 10: Tests for irritation and skin sensitization

  6. Recognition Number 2-153: AAMI ANSI ISO 10993-5:2009/(R)2014, Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity

Summary of Clinical Tests

The Interson USB Ultrasound System product family introduces no new modes, features, or technologies relative to the predicate devices (Philips Lumify K152899 and Interson K070907) that require clinical testing. The clinical safety and effectiveness of ultrasound systems with these characteristics are well accepted for both predicate and subject devices.

514 Performance Standards

There are no Sec. 514 performance standards for this device.

11

Prescription Status

This is a prescription device. The prescription device statement appears in the labeling.

Sterilization Site(s) Not applicable. No components are supplied sterile.

Conclusions

Interson Corporation concludes that the subject device, the Interson Ultrasound USB Imaging System, has been shown to be substantially equivalent to the predicate devices identified above.